Organization Active NPI

Johns Island Chiropractic LLC

  • Chiropractor
  • Johns Island, SC
National Provider Identifier
1912687302
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JOHNS ISLAND CHIROPRACTIC LLC
Practice address
4259 Hope Plantation Dr
Johns Island, SC 29455-4103
Phone
(845) 709-2717
NPI assigned
Jul 20, 2023
Last updated
Jul 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Paul Lentini, DCNPI 1437145703
Title
Owner
Phone
(845) 709-2717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

4259 Hope Plantation Dr
Johns Island, SC 29455-4103

Mailing address

4259 Hope Plantation Dr
Johns Island, SC 29455-4103
Phone (845) 709-2717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230911004231 SC Part B Supplier - Clinic/Group Practice 9739543646 Receives reassigned benefits from 1 practitioner
Practice locations: Kiawah Island, SC

National Provider Directory

National Provider Directory

Locations

435 Freshfields Dr
Ste 210
Kiawah Island, SC 29455
Phone (843) 764-7779

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1912687302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4259 HOPE PLANTATION DR",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554103",
            "telephone_number": "845-709-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4259 HOPE PLANTATION DR",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554103",
            "telephone_number": "845-709-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNS ISLAND CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "LENTINI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-709-2717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.